Clinical outcomes of prophylactic compression sutures for treatment of uterine atony during the cesarean delivery of twins.

ABSTRACT: BACKGROUND:Twin pregnancy has a high risk for developing uterine atony (UA). This study aimed to evaluate efficacy and clinical outcomes of prophylactic compression sutures to treat UA during twin cesarean section (CS). METHODS:All patient records of twin deliveries by CS after gestational age of 24 weeks in a large maternity hospital in South Korea between January 2013 and June 2018 were reviewed. Patients with monochorionic monoamniotic twins were excluded from data analysis. In total, 953 women were eligible for data analysis. RESULTS:Of the 953 patients, compression sutures were applied to 147 cases with postpartum bleeding that were refractory to uterine massage and uterotonics. Out of the 147, two patients (1.4%) proceeded to additional uterine artery ligation to achieve hemostasis,

SUBMITTER: Kim ML 

PROVIDER: S-EPMC6966872 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature